Normative Palatal Measurements in Infants: Implications for Nasoalveolar Molding in Cleft Lip and Palate Patients.

IF 1 4区 医学 Q3 SURGERY
Katherine A Gossett, Serena N Kassam, Tyler M Rist, Jenna Thuman, Seth Stalcup, Milad Yazdani, Mathew J Gregoski, Krishna G Patel
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引用次数: 0

Abstract

Background: Children with cleft lip ± palate (CL/P) may undergo nasoalveolar molding (NAM) before surgery to achieve arch alignment and tension-free closure, yet the endpoint of arch dimensions has not been defined.

Objective: To characterize the size and shape of infant palates using anatomic landmarks on magnetic resonance imaging in infants without CL/P.

Methods: Magnetic resonance imaging of infants without cleft palate younger than 3 months were reviewed and 13 measurements were taken to define palatal shape: distance between incisive foramen (IF) and incisors (IN), IF and middle of canines (MOC), between MOCs, between first molars (FM), 2 depth and 4 angle measurements.

Results: Ninety-two infants between 30 and 44 weeks old were included. Pre-maxillary growth from 30 to 44 weeks demonstrated the slowest growth (0.06 cm) from IF to between IN (B) and the greatest growth (0.7 cm) between the width of FM (K). The measurements between MOC (J) and between FMs (K) had the highest positive correlation to age at 0.55 and 0.61, respectively.

Conclusion: There was predictable growth of the palate noted between 30 and 44 weeks, with the most predictive measurements represented by the width of the canines and first molar locations along the alveolus. These values can help guide pre-surgical orthopedics in infants with CL/P.

婴儿腭部标准测量:唇腭裂患者鼻牙槽成形的意义。
背景:唇腭裂(CL/P)患儿术前可能会进行鼻牙槽成形(NAM)以达到弓对齐和无张力闭合,但弓尺寸的终点尚未确定。目的:探讨无CL/P的婴幼儿上颚的核磁共振解剖特征。方法:回顾3个月以下无腭裂婴儿的磁共振成像资料,并通过13项测量来确定腭形:切孔(IF)与门牙(IN)的距离、切孔与犬齿中间(MOC)的距离、切孔之间的距离、第一磨牙之间的距离、2项深度测量和4项角度测量。结果:纳入92例30 ~ 44周龄婴儿。上颌前生长在30 ~ 44周,IF到IN (B)之间的生长最慢(0.06 cm), FM宽度(K)之间的生长最大(0.7 cm), MOC (J)和FM (K)之间的测量值与年龄的正相关性最高,分别为0.55和0.61。结论:在30 - 44周之间,上颚的生长是可预测的,最具预测性的测量是犬齿的宽度和第一磨牙沿牙槽的位置。这些值可以帮助指导婴幼儿CL/P的术前矫形。
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来源期刊
CiteScore
1.70
自引率
11.10%
发文量
968
审稿时长
1.5 months
期刊介绍: ​The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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